MEDICARE AND OTHER INSURANCES use to pay this cpt code 64450, then they stop paying it. was there a replacement for this?

SuperCoder Posted 7 Year(s) ago

If your case falls under these below mentioned scenario then in that case they are not paid by Medicare. Or you can check the ICD's covered in the LCD table.

Limitations-
Endoscopic lysis of adhesions by use of an epiduroscope is a relatively new technique in the treatment of back pain. Approved by the Food and Drug Administration (FDA) in 1996 and marketed by several centers, there is insufficient evidence in peer-reviewed medical literature to support its use at this time.

Pain examination under anesthesia, a two-step procedure to reproduce pain before and after the administration of IV Pentothal, is considered non-covered as it has not been shown to be safe or effective at present. Medicare will consider re-review at a later time if additional peer-reviewed literature is presented.

Pharmacologic challenges for sympathetically maintained pain using IV medications such as lidocaine, phentolamine, carbamazepine or imipramine are considered to be investigational and currently not supported by peer-reviewed literature.

Posted by
Ben,
7 Year(s). There are 2 posts.
The latest reply is from SuperCoder.